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Organization
FREDERICK LU MD PA
Active
Organization
FREDERICK LU MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK LU MD (OWNER)
(908) 527-9863
Entity
Organization
Contact information
Practice address
1156 LIBERTY AVE, HILLSIDE, NJ 07205
(908) 527-9863
Mailing address
1156 LIBERTY AVE, HILLSIDE, NJ 07205
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA01980300
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA01980300
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
07/21/2008
Last updated
10/22/2008
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